| Robert T Keller MD | |
|
2751 Greenoaks Rd Fort Worth TX 76110 | |
| (817) 737-6552 | |
| (817) 732-6597 |
| Full Name | Robert T Keller MD |
|---|---|
| Speciality | Internal Medicine |
| Location | 2751 Greenoaks Rd, Fort Worth, Texas |
| Authorized Official Name and Position | Robert T Keller (OWNER) |
| Authorized Official Contact | 8177376585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert T Keller MD Po Box 12247 Fort Worth TX 76110 Ph: (817) 737-6552 | Robert T Keller MD 2751 Greenoaks Rd Fort Worth TX 76110 Ph: (817) 737-6552 |
| NPI Number | 1871510784 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871510784 | NPI | - | NPPES |
| 0063LZ | Other | TX | BC |
| DC1238 | Other | TX | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | H4975 (Texas) | Primary |
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